Provider Demographics
NPI:1548209448
Name:ROBERT C KRATSCHMER MD PA
Entity Type:Organization
Organization Name:ROBERT C KRATSCHMER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:KRATSCHMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-317-8179
Mailing Address - Street 1:308 E EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3823
Mailing Address - Country:US
Mailing Address - Phone:281-317-8179
Mailing Address - Fax:281-317-8279
Practice Address - Street 1:308 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3823
Practice Address - Country:US
Practice Address - Phone:281-317-8179
Practice Address - Fax:281-317-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL54222086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00655ZMedicare PIN